Royal plus
Registration Form
PERSONAL
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*Title:
--
BARON
CHD.
DR.
GEN.
H.R.H.
MISS.
MR.
MRS.
MS.
NRS.
PRI
PROF
REV.
RM.
SHARIF
SHARIF.
SHARIFA
SHARIFA.
SHEIKH
*First Name:
Middle Name:
*Last Name:
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*Gender:
Male
Female
*Date Of Birth:
Place Of Birth:
Marital Status
Married
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*Preferred Communication Address:
Home
Business
Passport Number:
Date Of Passport Expiry:
ID Number:
*Nationality:
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Antilles Nether
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
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Bahrain
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Benin
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Bhutan
Bolivia
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Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
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Cayman Isl.
Central Africa
Chad
Chile
China
Christmas Island
Cocos (Keeling) Island
Colombia
Comoros
Congo
Congo Dem. Rep.
Cook Island
Costa Rica
Cote D Ivorie
Croatia
Cuba
Cyprus
Czech Republic
Czechoslovakia
Denmark
Djibouti
Dominica
Dominican Rep.
East Timor
Ecuador
Egypt
El Salvador
Eq Guinea
Eritrea
Estonia
Ethiopia
Falkland Island
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Terr.
Gabon
Gambia
Gaza
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Heard and McDonald Terr.
Held Territories
Honduras
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Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
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Kenya
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Kuwait
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Lao P.Dem.Rep.
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Island
Martinique
Mauritania
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Mayotte
Mexico
Micronesia
Minor U.S. Outlying Islands
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Ireland
Northern Mariana Islands
Norway
Oman
Other
Pakistan
Palau
Palestine
Panama
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Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Roumania
Russia
Rwanda
Saint Kitts and Nevis
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & Sandwich Isl.
Spain
Sri Lanka
St Pierre And Miquelon
St Vincent & Grenadines
St. Helena
St.lucia
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga Island
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukranie
United Arab Emirates
United Kingdom
United States
Uruguay
Us Virgin Isl.
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Wallis And Futuna Islands
Western Sahara
Yemen
Yemen Democratic
Yugoslavia
Zaire
Zambia
Zimbabwe
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SECURITY
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*PIN Code:
*Confirm PIN Code:
HOME ADDRESS
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Address Line 1:
Address Line 2:
Address Line 3:
PO Box:
Zip/Postal Code:
City:
State/Province:
Country:
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Antilles Nether
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosna And Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde Isl.
Cayman Isl.
Central Africa
Chad
Chile
China
Christmas Island
Cocos (Keeling) Island
Colombia
Comoros
Congo
Congo Dem. Rep.
Cook Island
Costa Rica
Cote D Ivorie
Croatia
Cuba
Cyprus
Czech Republic
Czechoslovakia
Denmark
Djibouti
Dominica
Dominican Rep.
East Timor
Ecuador
Egypt
El Salvador
Eq Guinea
Eritrea
Estonia
Ethiopia
Falkland Island
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Terr.
Gabon
Gambia
Gaza
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Heard and McDonald Terr.
Held Territories
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kuwait
Kyrgyzstan
Lao P.Dem.Rep.
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Island
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Minor U.S. Outlying Islands
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Ireland
Northern Mariana Islands
Norway
Oman
Other
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Roumania
Russia
Rwanda
Saint Kitts and Nevis
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & Sandwich Isl.
Spain
Sri Lanka
St Pierre And Miquelon
St Vincent & Grenadines
St. Helena
St.lucia
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga Island
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukranie
United Arab Emirates
United Kingdom
United States
Uruguay
Us Virgin Isl.
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Wallis And Futuna Islands
Western Sahara
Yemen
Yemen Democratic
Yugoslavia
Zaire
Zambia
Zimbabwe
BUSINESS ADDRESS
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Address Line 1:
Address Line 2:
Address Line 3:
PO Box:
Zip/Postal Code:
City:
State/Province:
Country:
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua And Barbuda
Antilles Nether
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosna And Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei Darussalam
Bulgaria
Burkina Faso
Burma
Burundi
Cambodia
Cameroon
Canada
Cape Verde Isl.
Cayman Isl.
Central Africa
Chad
Chile
China
Christmas Island
Cocos (Keeling) Island
Colombia
Comoros
Congo
Congo Dem. Rep.
Cook Island
Costa Rica
Cote D Ivorie
Croatia
Cuba
Cyprus
Czech Republic
Czechoslovakia
Denmark
Djibouti
Dominica
Dominican Rep.
East Timor
Ecuador
Egypt
El Salvador
Eq Guinea
Eritrea
Estonia
Ethiopia
Falkland Island
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Terr.
Gabon
Gambia
Gaza
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea Bissau
Guyana
Haiti
Heard and McDonald Terr.
Held Territories
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea North
Korea South
Kuwait
Kyrgyzstan
Lao P.Dem.Rep.
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Island
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Minor U.S. Outlying Islands
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Ireland
Northern Mariana Islands
Norway
Oman
Other
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Roumania
Russia
Rwanda
Saint Kitts and Nevis
Samoa
San Marino
Sao Tome And Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & Sandwich Isl.
Spain
Sri Lanka
St Pierre And Miquelon
St Vincent & Grenadines
St. Helena
St.lucia
Sudan
Suriname
Svalbard and Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga Island
Trinidad And Tobago
Tunisia
Turkey
Turkmenistan
Turks And Caicos Islands
Tuvalu
Uganda
Ukranie
United Arab Emirates
United Kingdom
United States
Uruguay
Us Virgin Isl.
Uzbekistan
Vanuatu
Vatican
Venezuela
Vietnam
Wallis And Futuna Islands
Western Sahara
Yemen
Yemen Democratic
Yugoslavia
Zaire
Zambia
Zimbabwe
Job Title:
Other
Department Name:
Company Name:
CONTACT NUMBERS
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Home Phone:
1
6
7
20
27
30
31
32
33
34
36
39
40
41
43
44
45
46
47
48
49
51
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57
58
60
61
62
63
64
65
66
71
81
82
84
86
90
91
92
93
94
95
98
212
213
216
218
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
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240
241
242
243
244
245
248
249
250
251
252
253
254
255
256
257
258
260
261
262
263
264
265
266
267
268
269
291
297
298
299
350
351
352
353
354
355
356
357
358
359
370
371
372
373
374
376
377
378
380
381
385
387
389
420
421
441
473
500
501
502
503
504
505
506
507
508
509
590
591
592
593
594
595
596
597
598
599
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
691
692
758
850
852
853
855
856
880
886
960
961
962
963
964
965
966
967
968
971
972
973
974
975
976
977
992
993
994
996
Business Phone:
1
6
7
20
27
30
31
32
33
34
36
39
40
41
43
44
45
46
47
48
49
51
52
53
54
55
56
57
58
60
61
62
63
64
65
66
71
81
82
84
86
90
91
92
93
94
95
98
212
213
216
218
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
248
249
250
251
252
253
254
255
256
257
258
260
261
262
263
264
265
266
267
268
269
291
297
298
299
350
351
352
353
354
355
356
357
358
359
370
371
372
373
374
376
377
378
380
381
385
387
389
420
421
441
473
500
501
502
503
504
505
506
507
508
509
590
591
592
593
594
595
596
597
598
599
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
691
692
758
850
852
853
855
856
880
886
960
961
962
963
964
965
966
967
968
971
972
973
974
975
976
977
992
993
994
996
Mobile Phone:
1
6
7
20
27
30
31
32
33
34
36
39
40
41
43
44
45
46
47
48
49
51
52
53
54
55
56
57
58
60
61
62
63
64
65
66
71
81
82
84
86
90
91
92
93
94
95
98
212
213
216
218
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
248
249
250
251
252
253
254
255
256
257
258
260
261
262
263
264
265
266
267
268
269
291
297
298
299
350
351
352
353
354
355
356
357
358
359
370
371
372
373
374
376
377
378
380
381
385
387
389
420
421
441
473
500
501
502
503
504
505
506
507
508
509
590
591
592
593
594
595
596
597
598
599
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
691
692
758
850
852
853
855
856
880
886
960
961
962
963
964
965
966
967
968
971
972
973
974
975
976
977
992
993
994
996
Business Fax:
1
6
7
20
27
30
31
32
33
34
36
39
40
41
43
44
45
46
47
48
49
51
52
53
54
55
56
57
58
60
61
62
63
64
65
66
71
81
82
84
86
90
91
92
93
94
95
98
212
213
216
218
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
248
249
250
251
252
253
254
255
256
257
258
260
261
262
263
264
265
266
267
268
269
291
297
298
299
350
351
352
353
354
355
356
357
358
359
370
371
372
373
374
376
377
378
380
381
385
387
389
420
421
441
473
500
501
502
503
504
505
506
507
508
509
590
591
592
593
594
595
596
597
598
599
671
672
673
674
675
676
677
678
679
680
681
682
683
684
685
686
687
688
689
691
692
758
850
852
853
855
856
880
886
960
961
962
963
964
965
966
967
968
971
972
973
974
975
976
977
992
993
994
996
REFERENCES
* Indicates required field
Reference Code:
Referring Member No:
PREFERENCES
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Meal:
Asian Vegetarian Meal (Indian)
Baby Meal
Bland Meal
Child Meal
Diabetic Meal
Fruit Platter Meal
Gluten Free Meal (Coeliac )
High Fibre Meal
Hindu Meal
Kosher Meal
Low Calorie Meal (Weight Control)
Low Cholestrol Meal (Low Fat)
Low Protein Meal (Potassium Meal)
Low Purin Meal (Curic Acid)
Moslem Meal
Non Diary (No Milk)
Oriental Meal
Row Vegetarian Meal
Sea Food Meal
Sodium Meal (No salt added)
Vegetarian Meal ( Non Diary)
Vegetarian Meal (Lacto-ovo)
Visa
Seat:
Non Smoking Seat Aisl
Non Smoking Seat Window
Seat Number:
Medical Requirements:
Deaf passenger
Medical case
Meet and assist
Stretcher passenger
Wheelchair dry cell batte
Wheelchair for cabin seat
Wheelchair for ramp
Wheelchair for steps
Wheelchair manual power
Wheelchair on board
Wheelchair wet cell batte
Special Care:
Interests:
Art
Cinema
Food
Literature
Music
Sports
Theatre
Travel
Winter sports
Consents:
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Receive Postal Mails from Royal Jordanian.
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Receive Statements by Email.
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